Question

Make a case study about INTOXICATION

- The Case Study must be introduced with opening statements that present the patient case.  Patient history, demographics, admitting complaints, background, symptoms, etc.  that correlate with the clinical condition must be included.

- case study must include CBC, electrolytes, glucose, urea and creatinine results with actual results including units and reference ranges. Some conditions may have a normal CBC or chemistry results. Any other test results that are included to help further correlations or diagnosis can be listed as increased or decreased.  

Reference ranges do not have to be provided for additional diagnostic tests. However, an explanation must be stated which explains what the increased or decreased result indicates in correlation with the case study.

THANK YOU! CLINICAL CHEM.

Answer 1

A 67-year-old man with headache.., nausea..., and visual disturbance..

During a day visit, you see a 67-year-old man for onset of headache, nausea, and visual disturbance. The friend UN agency accompanies him explains that each of them frequent an equivalent senior center which they need been getting ready for a fund-raising event throughout the past a pair of days. throughout this point, the patient spent between half-dozen and nine hours per day reproducing fliers employing a “spirit duplicator” (mimeograph machine). This activity occurred in an exceedingly little, unventilated area with the patient operating alone most of the time.

On questioning, the patient says that he had eye irritation and lightheadedness once the primary few hours of activity however thought of these symptoms to be a minor annoyance. He conjointly had nausea by the top of the primary day however noted that this cleared nightlong. throughout the second day of activity, he was once more troubled by eye irritation, this point in the course of dizziness, tinnitus, visual blurring, and photophobia. He tried to ventilate the area by inserting atiny low fan close to the door however continuing to feel poorly despite a chronic break. Late within the afternoon his friend insisted that he ask for medical attention.

The patient may be a widowman and retired insurance salesperson with a smoking history of 1 pack per day from age twenty seven to sixty two (none for the last five years). He usually consumes a carton of brewage per day, however he has felt poorly and has been abstinent for the past ten days. case history includes artery bypass surgery at age sixty three with future medical management of stable angina and a transurethral ablation at age sixty five with no repetition of hindering symptoms. Current medications embody nitroglycerin patches used before exercise (with no patches utilized in the previous four days) and organ nitroglycerin, that he takes seldom. The review of symptoms is negative for different internal organ complaints. there's no case history of eye disease, myopia, or diabetes.

On examination, the patient is alert and headed to time, space, and person, though he seems somewhat distracted. His breath encompasses a faint solvent-like smell. important signs ar at intervals traditional vary with the exception of a vital sign of 30/minute. The internal organ examination is ordinary, however abdominal examination reveals gentle tenderness within the region while not rebound or guarding. tonus, strength, sensation (pinprick, brush, position sense) and reflexes ar symmetrically intact. His gait is unsteady with a wide-based stance, and he shows a positive composer sign, heel-to-shin, and fast alternating movements (bilaterally).

Ophthalmologic examination reveals a visible acuity of 20/200 bilaterally despite new prescribed corrective lenses. The conjunctivae seem somewhat injected, motion is gift on lateral gaze, and also the pupils ar massive and poorly reactive to lightweight. Examination conjointly reveals congestion of the second cranial nerve head with no hemorrhages or exudates.